Job Description

Job Description

Job Description

We are seeking highly organized and detail-oriented Medical Billers and Insurance Clerks to join our healthcare team. This position involves accurately processing and submitting medical claims, handling billing inquiries, and ensuring timely reimbursement from insurance companies. The ideal candidate will have a solid understanding of medical billing procedures, insurance policies, and claims processing.

Key Responsibilities:

Prepare and submit accurate medical claims to insurance companies, government programs, and patients.
Review patient bills for accuracy and completeness, ensuring all necessary information is included for successful claims processing.
Follow up on unpaid claims and resolve denials or rejections from insurance companies in a timely manner.
Verify insurance coverage and eligibility for patients, and ensure proper billing codes are applied (e.g., CPT, ICD-10).
Communicate with insurance companies, patients, and healthcare providers to resolve billing issues and answer inquiries.
Track and process payments, including posting payments to patient accounts and handling refunds or overpayments.
Maintain patient confidentiality and adhere to all HIPAA guidelines and healthcare privacy laws.
Review and update patient accounts to reflect accurate billing information.
Assist with patient billing inquiries, providing clear explanations of statements and payment plans as needed.
Maintain and update electronic health records (EHR) and billing software with accurate and current information.
Work closely with the healthcare team to ensure smooth billing operations and resolve any discrepancies in a timely manner.

Skills and Qualifications:

Proven experience as a medical biller, insurance clerk, or in a related administrative role in healthcare.
Solid understanding of medical billing procedures, coding systems (CPT, ICD-10), and healthcare insurance claims processes.
Familiarity with Electronic Health Records (EHR) and billing software (e.g., EPIC, Cerner, or similar).
Strong attention to detail and ability to work with complex data.
Knowledge of insurance guidelines, including Medicare and Medicaid.
Excellent communication and interpersonal skills to interact effectively with patients, insurance representatives, and healthcare providers.
Ability to multitask, prioritize workload, and meet deadlines in a fast-paced environment.
Proficiency in Microsoft Office Suite (Word, Excel) and other relevant computer applications.

Education and Certifications:

High school diploma or equivalent is required; associate's degree in healthcare administration or a related field is preferred.
Certified Professional Coder (CPC), Certified Medical Reimbursement Specialist (CMRS), or other relevant certification is a plus.

Preferred Qualifications (Optional):

1-2 years of experience in medical billing, insurance claims, or a related role.
Experience working in a hospital, clinic, or other healthcare setting.

This is an on-site position with no remote option available.

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